{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:26:37Z","timestamp":1761845197492},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10]]},"abstract":"\n Objectives:<\/jats:title>\n To describe clinical characteristics of fracture patients, including a closer look to hip fracture patients, and determine how epidemiological variables may have influenced on a higher vulnerability to SARS-CoV-2 infection, as the basis for the considerations needed to reintroduce elective surgery during the pandemic.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Longitudinal prospective cohort study.<\/jats:p>\n <\/jats:sec>\n \n Setting:<\/jats:title>\n Level I Trauma Center in the East of Spain.<\/jats:p>\n <\/jats:sec>\n \n Patients\/Participants:<\/jats:title>\n One hundred forty-four consecutive fracture patients 18 years or older admitted for surgery.<\/jats:p>\n <\/jats:sec>\n \n Intervention:<\/jats:title>\n Patients were tested for SARS-CoV-2 with either molecular and\/or serological techniques and screened for presentation of COVID-19.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measurements:<\/jats:title>\n Patients were interviewed and charts reviewed for demographic, epidemiological, clinical, and surgical characteristics.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n We interviewed all patients and tested 137 (95.7%) of them. Three positive patients for SARS-CoV-2 were identified (2.1%). One was asymptomatic and the other 2 required admission due to COVID-19-related symptoms. Mortality for the whole cohort was 13 patients (9%). Significant association was found between infection by SARS-CoV-2 and epidemiological variables including: intimate exposure to respiratory symptomatic patients (P<\/jats:italic> = 0.025) and intimate exposure to SARS-CoV-2-positive patients (P<\/jats:italic> = 0.013). No association was found when crowding above 50 people was tested individually (P<\/jats:italic> = 0.187). When comparing the 2020 and 2019 hip fracture cohorts we found them to be similar, including 30-day mortality. A significant increase in surgical delay from 1.5 to 1.8 days was observed on the 2020 patients (P<\/jats:italic> = 0.034).<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Patients may be treated safely at hospitals if strict recommendations are followed. Both cohorts of hip fracture patients had similar 30-day mortality.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence:<\/jats:title>\n Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/bot.0000000000001899","type":"journal-article","created":{"date-parts":[[2020,7,13]],"date-time":"2020-07-13T07:00:14Z","timestamp":1594623614000},"page":"e371-e376","source":"Crossref","is-referenced-by-count":23,"title":["Are Hospitals Safe? A Prospective Study on SARS-CoV-2 Prevalence and Outcome on Surgical Fracture Patients: A Closer Look at Hip Fracture Patients"],"prefix":"10.1097","volume":"34","author":[{"given":"Borja","family":"Segarra","sequence":"first","affiliation":[{"name":"Orthopaedic Surgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuria","family":"Ballesteros Heras","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marian","family":"Viadel Ortiz","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julio","family":"Ribes-Iborra","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olalla","family":"Martinez-Macias","sequence":"additional","affiliation":[{"name":"Microbiology, Hospital Universitario de La Ribera, Alzira, 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